Our fellowship is completed at an outpatient private clinic which owns its own procedure suites. The fellowship was designed to ensure that upon completion of the fellowship, the fellow would be able to correctly evaluate, diagnose and treat chronic pain patients by using the most current treatment guideline recommendations as set forth by organization such as ASIPP and ISIS. In addition, at completion of the fellowship, the fellow should be able to perform independently and safely most procedures available today in the field of interventional pain management. A list of the procedures is listed below. These goals have always been met so far for each fellow since 2005.
This is strictly an outpatient based fellowship. There are no calls, no evening hours, and no weekend hours required. The fellow typically spends 1 to 2 days per week in the procedure room training and performing XR guided procedures. So far, the fellows have typically performed between 1000 and 1500 XR guided injections by year end. This is most likely the highest number of procedures performed by any fellow anywhere in the US. We are also starting to incorporate the teaching of US guided procedure in the fellowship, and there will be opportunities to learn how to perform basic US guided injection (bursa, nerve blocks, tendon, etc…) as well as STEM cell and PRP injection starting in 2016. There is typically about a half day to a full day of EMG per week, and 2 ½ days per week spent evaluating and diagnosing patients with chronic pain.
In 2016, we will be opening our own ambulatory surgery center. This will increase our abilities to teach more advanced procedures such as spinal cord implants as well as other minimally invasive pain procedures.
The teaching is done on a one-on-one basis by Dr Bonnabesse. It is done in a very informal, relaxed, and enthusiastic way throughout the year. The fellows see his/her own patients (with access to supervision at all times if needed) and will schedule patients for procedures which will be completed by the fellow under the direct supervision of Dr. Bonnabesse or by Dr Bonnabesse himself. Our setting makes it easy to interact on a one-on-one basis throughout the day, and, as result, the teaching goes far beyond just the learning of the procedures; it includes helping the fellow learn how to match the appropriate treatment and procedure for each diagnosis and patient, safe opioids management and its legal and medical ramification (drug testing, ORT, conversion etc…), the business aspect of medicine which is never really discussed with resident and fellows, and so on. Each fellow who has joined us has completed the fellowship, and they all have described their fellowship experience as “excellent.” A year or two later, the fellows have all said they felt that the fellowship had prepared them well for their job. Upon completion a couple of fellows have started their own practice; others have joined private groups where they have made partnership. All of the former fellows are willing to discuss their experiences with applicants if interested. Three fellows have stayed with our clinic past the completion of their fellowship.
Our office is located in an area that is often referred as “God’s country.” The office is located on the shore of Lake Champlain, the 6th largest lake in the US after the Great Lakes. We are 45 minutes from Lake Placid where the winter Olympics were held twice in 1932 and again in 1980 and where there are ample opportunities to be involved with the Lake Placid Olympic Athletic Center if desired. We are also located 60 miles from the beautiful downtown of Montreal, the largest French speaking city in the world outside of Paris, with 3 million inhabitants. NY and Boston are also only a 4 or 4.5 drive from Plattsburgh. It is easy to fly anywhere in the world from international airports at Montreal, Burlington, Vermont, and Plattsburgh. Plattsburgh airport also offers several inexpensive, non-stop flights to cities in the southern and western states.
Please call or email us with any questions you may have.
Epidural injection at all levels Transforaminal epidural injections at all levels Sacroiliac joint injection Medial branch block/facet joint injections Radiofrequency ablations : SI joint/facet joints all levels/intercoastal nerves/peripheral nerves Hip joint and trochanteric bursa Lumbar sympathetic blockstellate ganglion block Discogram lumbar and thoracic Radiofrequency of the Disc (Diskit II) IDET Spinal cord stimulation trial Occipital nerve stimulation Trial GON and TON Occipital nerve block Intercoastal nerve block and RFA Ganglion Impar block Superior Hyppogastric Plexus block Joint injection STEM cells and PRP injection
Director: Thierry Bonnabesse, MD
About Champlain Spine & Pain Management
At Champlain Spine & Pain Management we specialize in the diagnosis and treatment of patients suffering with chronic pain. We treat all types of pain and all types of injuries, including sports injuries and worker’s compensation injuries. Patient care is provided by Board Certified highly trained and experienced team members who implement a multifaceted approach to the treatment of each patient. They use a range of the most scientifically advanced and effective tools in both the diagnostic and the treatment phases of recovery. We also work closely with other specialists to provide the most comprehensive treatment possible, including physical therapists, acupuncturists, chiropractors, orthotists, prosthetists, surgeons and mental health therapists. Our goal with every patient is to obtain the most accurate diagnosis and to coordinate the most effective treatments and diagnoses possible in order to help the patient recover from pain and return to their normal lives as quickly as they can.